Individual
DR. THOMAS R SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
354 OLD HOOK RD, SUITE 201, WESTWOOD, NJ 07675-3246
(201) 664-3023
(201) 664-0912
Mailing address
354 OLD HOOK RD, SUITE 201, WESTWOOD, NJ 07675-3246
(201) 664-3023
(201) 664-0912
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
TRS-9532
NJ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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